Publications by authors named "Stalmach A"

Skeletal muscle homeostasis is essential for the maintenance of a healthy and active lifestyle. Imbalance in muscle homeostasis has significant consequences such as atrophy, loss of muscle mass, and progressive loss of functions. Aging-related muscle wasting, sarcopenia, and atrophy as a consequence of disease, such as cachexia, reduce the quality of life, increase morbidity and result in an overall poor prognosis.

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  • The study examines the potential of urinary proteomics, specifically the CKD273-classifier, to identify individuals at high risk for developing diabetic nephropathy over time, focusing on a group of type 2 diabetes patients who initially showed normal albumin levels.
  • A post hoc analysis of 737 participants from the DIRECT-Protect 2 trial showed that the CKD273-classifier effectively predicted the onset of persistent microalbuminuria, independent of various other health factors.
  • Results indicated that the CKD273-classifier significantly improved risk prediction for microalbuminuria, with statistical measures reinforcing its predictive value, suggesting its utility for early intervention in at-risk diabetic patients.
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  • Acute kidney injury (AKI) is a serious issue for hospitalized patients, and current diagnosis methods lack reliable early biomarkers.
  • A study was conducted using urine samples from patients who developed AKI following cardiac surgery, analyzing them with advanced mass spectrometry to identify early signs of kidney damage.
  • The new peptide marker model showed better accuracy in predicting AKI compared to traditional markers like NGAL and KIM-1, indicating its potential for effective early diagnosis across various causes of AKI.
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Spent coffee grounds are a potential commercial source of substantial amounts of chlorogenic acids (CGAs). The aim of this study was to evaluate the stability of spent coffee CGAs using in vitro simulated gastroduodenal digestion and to investigate their potential absorption using an in vitro Caco-2 model of human small intestinal epithelium. During in vitro digestion, lactones were partially degraded while caffeoylquinic and feruloylquinic acids were much more stable.

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  • The study explored the urinary proteomic profile's ability to predict coronary artery disease (CAD) in a specific group of patients from the Anglo-Scandinavian Cardiac Outcomes Trial.
  • Urine samples from 60 individuals (32 with CAD, 28 without) were analyzed using advanced mass spectrometry, revealing a potential link between certain urinary markers and CAD outcomes.
  • The findings suggest that a previously developed 238-marker model for CAD diagnosis can effectively predict CAD endpoints, indicating that urinary proteomic analysis may be useful in assessing cardiovascular risk regardless of age and sex.
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Proteomic biomarkers hold the promise of enabling assessment of patients according to a pathological condition aiming at improvements in diagnosis, prognosis, in general clinical patient management. Capillary electrophoresis coupled to an electrospray ionization time-of-flight mass spectrometer (CE-MS) allows the detection of thousands of small proteins and peptides in various biofluids, in a single, reproducible and time-limited step, enabling the simultaneous comparison of multiple individual proteins and peptides in biomarker discovery, but also in clinical applications. The reliability of the CE-MS platform, together with the use of a validated approach for data processing and mining is, to date, the most advanced technique for biomarker discovery of clinical significance.

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Early diagnosis and treatment of rheumatoid arthritis are associated with improved outcomes but current diagnostic tools such as rheumatoid factor or anti-citrullinated protein antibodies have shown limited sensitivity. In this pilot study we set out to establish a panel of urinary biomarkers associated with rheumatoid arthritis using capillary electrophoresis coupled to mass spectrometry. We compared the urinary proteome of 33 participants of the Scottish Early Rheumatoid Arthritis inception cohort study with 30 healthy controls and identified 292 potential rheumatoid arthritis-specific peptides.

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  • A double-blind study with eleven healthy volunteers tested three different servings of coffee, varying in chlorogenic acid content (low, medium, high), to analyze the resulting metabolites in plasma and urine.
  • The study identified 12 metabolites in plasma and 16 in urine, mostly in sulphate forms, with peak plasma concentrations showing a trend towards reduced bioavailability at higher doses.
  • Potential biomarkers for coffee intake were feruloylquinic acids and sulphated caffeoylquinic acid lactones, which correlated well with peak plasma concentrations and urinary excretion amounts.
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Human urine is an attractive and informative biofluid for medical diagnosis, which has been shown to reflect the (patho)-physiology of not only the urogenital system, but also others such as the cardiovascular system. For this reason, many studies have concentrated on the study of the urine proteome, aiming to find relevant biomarkers that could be applied in a clinical setting. However, this goal can only be achieved after reliable quantitative and qualitative analysis of the urinary proteome.

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  • The study found that consuming dark chocolate, particularly enriched with flavanols, improves endothelial health by increasing flow-mediated dilation (FMD) and reducing the augmentation index (AIX) and leukocyte count.
  • Despite the health benefits observed, there was no significant difference between high flavanol and normal flavanol chocolate regarding these effects.
  • However, flavanol enrichment impacted taste and reduced the motivation to consume chocolate, indicating a trade-off between health benefits and sensory enjoyment.
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  • Bilateral congenital abnormalities of the kidney and urinary tract (CAKUT) are a leading cause of chronic kidney disease in infants, with outcomes ranging from death to normal kidney function.
  • A study used advanced techniques to analyze fetal urine and identified 26 specific peptides linked to posterior urethral valves (PUV), a common form of CAKUT.
  • These peptides allowed for accurate prediction of postnatal kidney function with 88% sensitivity and 95% specificity, providing a more reliable alternative to traditional methods like ultrasound and urine tests.
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  • MALDI-TOF MS offers advantages like speed, ease of use, low cost, and sensitivity, making it popular for peptide identification, biomarker discovery, and imaging.
  • Previous studies pointed out that moderate reproducibility in peptide quantification is a key limitation of this technique.
  • The authors developed a new method and algorithm to improve quantification by determining the linear response range of each peptide at various dilutions in complex samples like urine, leading to more reliable results in distinguishing between different diabetic conditions.
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Air-dried whole coffee fruits, beans, and husks from China, India, and Mexico were analyzed for their chlorogenic acids (CGA), caffeine, and polyphenolic content. Analysis was by HPLC and Orbitrap exact mass spectrometry. Total phenol, total flavonol, and antioxidant capacity were measured.

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Proteome analysis using capillary electrophoresis coupled to mass spectrometry (CE-MS) has been used in a number of clinical applications in the past years. The main focus of CE-MS-based studies has been on the investigation of urine, due to the stability of the urinary proteome, ease of collection, and also the low molecular weight range of the urinary proteome, mostly peptides below 30 kDa. The reproducibility of this approach has enabled analysis of over 20 000 samples in a comparable way, giving enormous statistical power to any additional study involving this methodological setup.

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  • A study on the effects of Concord grape juice ingestion revealed that significant amounts of (poly)phenolic compounds were detected both in circulation and urine of healthy volunteers, with ileostomists retaining 40% of these compounds intact.
  • Incubation experiments in an in vitro colonic fermentation model identified 16 phenolic and aromatic compounds resulting from the metabolism of these (poly)phenolic compounds.
  • The findings highlighted that the colonic catabolism of these compounds significantly contributes to their bioavailability, surpassing the effects of phase I and II metabolites absorbed earlier in the gastrointestinal tract.
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Male Sprague-Dawley rats ingested 140 × 10(6) dpm of [3-(14)C]trans-caffeic acid, and over the ensuing 72 h period, body tissues, plasma, urine, and feces were collected and the overall levels of radioactivity determined. Where sufficient radioactivity had accumulated, samples were analyzed by HPLC with online radioactivity and tandem mass spectrometric detection. Nine labeled compounds were identified, the substrate and its cis isomer, 3'-O- and 4'-O-sulfates and glucuronides of caffeic acid, 4'-O-sulfates and glucuronides of ferulic acid, and isoferulic acid-4'-O-sulfate.

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The in vitro gastrointestinal stability of (poly)phenolic compounds in Concord grape juice was compared with recoveries in ileal fluid after the ingestion of the juice by ileostomists. Recoveries in ileal fluid indicated that 67% of hydroxycinnamate tartarate esters, and smaller percentages of the intake of other (poly)phenolic compounds, pass from the small intestine to the colon. The juice was also ingested by healthy subjects with an intact functioning colon.

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HPLC analysis of 20 commercial espresso coffees revealed 6-fold differences in caffeine levels, a 17-fold range of caffeoylquinic acid contents, and 4-fold differences in the caffeoylquinic acid : caffeine ratio. These variations reflect differences in batch-to-batch bean composition, possible blending of arabica with robusta beans, as well as roasting and grinding procedures, but the predominant factor is likely to be the amount of beans used in the coffee-making/barista processes. The most caffeine in a single espresso was 322 mg and a further three contained >200 mg, exceeding the 200 mg day(-1) upper limit recommended during pregnancy by the UK Food Standards Agency.

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Analysis of Concord grape juice by HPLC with ESI-MS(n), PDA, and fluorescence detection resulted in the identification and quantification of 60 flavonoids and related phenolic compounds, which were present at an overall concentration of 1508 ± 31 μmol/L. A total of 25 anthocyanins were detected, which were mono- and di-O-glucosides, O-acetylglucosides, O-p-coumaroyl-O-diglucosides, and O-p-coumaroylglucosides of delphinidin, cyanidin, petunidin, peonidin, and malvidin. The anthocyanins represented 46% of the total phenolic content of the juice (680 μmol/L).

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Inflammation is a hallmark of the metabolic syndrome, which also contributes to a pro-atherogenic state. NF-κB activation, a critical step in regulating inflammatory reactions, can be inhibited by polyphenol (PF) extracts, at least in vitro. In the present study, we set out to study whether a PF-rich extract could attenuate the chronic inflammatory state and/or an acute immune response in vivo in subjects with clustered metabolic risk factors.

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Commercial whole coffee fruit extracts and powder samples were analyzed for chlorogenic acids (CGA), caffeine and antioxidant activities. CGA and caffeine were characterized by LC-MS(n) and HPLC accordingly, and quantified by UV absorbance. ORAC, HORAC, NORAC, SORAC and SOAC (antioxidant capacities) were assessed.

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A systematic investigation of the human metabolism of hydroxycinnamic acid conjugates was carried out. A set of 24 potential human metabolites of coffee polyphenols has been chemically prepared, and used as analytical standards for unequivocal identifications. These included glucuronide conjugates and sulfate esters of caffeic, ferulic, isoferulic, m-coumaric and p-coumaric acids as well as their dihydro derivatives.

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This paper reviews recent human studies on the bioavailability of chlorogenic acids in coffee and green tea flavan-3-ols in which the identification of metabolites, catabolites and parent compounds in plasma, urine and ileal fluid was based on mass spectrometric methodology. Both the chlorogenic acids and the flavan-3-ols are absorbed in the small intestine and appear in the circulatory system predominantly as glucuronide, sulfate and methylated metabolites. Even when absorption occurs in the small intestine, feeding studies with ileostomists reveal that substantial amounts of the parent compounds and some of their metabolites appear in ileal fluid indicating that in volunteers with a functioning colon these compounds will pass to the large intestine where they are subjected to the action of the colonic microflora.

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  • The study looked at how 385 micromol of chlorogenic acids are absorbed and metabolized after consuming 200 mL of instant coffee in people with ileostomies.
  • Over 24 hours, about 71% of the chlorogenic acids and their metabolites were found in the ileal effluent, with a majority being the original compounds from coffee.
  • Urine samples showed that only 8% of the intake was excreted as metabolites in ileostomy subjects, contrasting with 29% excretion in those with intact colons, indicating that the colon plays a crucial role in metabolizing these compounds.
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  • The study examines how flavan-3-ols from green tea are processed in the large intestine by colonic bacteria, focusing on specific compounds like (-)-epicatechin and (-)-epigallocatechin.
  • Researchers used fecal slurries to analyze the production of phenolic acid catabolites and studied their urinary excretion in healthy volunteers and ileostomists after green tea consumption.
  • Results indicate that around 40% of flavan-3-ols are excreted via urine after colonic processing, highlighting the significant role of gut bacteria in their bioavailability and health effects.
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